Lake Worth Opco LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 6204270119 Enrollment ID O20240220000522

Details

Linked facilitiesFacilities
1
StatesStates
1

6 parties: 2 organizations · 4 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Justina L Olazabal7618363300IndividualW-2 Managing Employee; Operational/Managerial Control; Managing Control - Governing Body100
Ruben H Colman9931113446IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
4445 Pine Forest Dr Lake Holdco LLC1658715560Organization5% or Greater Direct Ownership Interest100
Eliyahu Mirlis5698072395Individual5% or Greater Indirect Ownership Interest; Corporate Officer99, 100
Vrd 10 Hldco LLC5597108316OrganizationIndirect Ownership Interest100
Sarah Becher1850827866IndividualIndirect Ownership Interest1

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Pine Trail Nursing and Rehab Center
Lake Worth Opco LLC
58 residents
Other disclo…
3.28Ovr★★☆☆☆Stf★★★☆☆Ins☆☆☆☆QM★★★★★58
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Lake Worth Opco LLC in FEC filings. Similar names may appear—confirm on FEC.gov.